The inability of the body’s internal biological rhythms, particularly the circadian clock system, to accurately synchronize with external environmental time cues (zeitgebers), such as the natural light-dark cycle, meal timing, or social schedules. This failure results in a state of internal desynchronization, where peripheral clocks in organs like the liver and pancreas operate out of phase with the central pacemaker (SCN). Clinically, this is a core mechanism underlying shift work disorder and jet lag, leading to metabolic and hormonal dysfunction.
Origin
The term is derived from chronobiology, where “entrainment” refers to the process by which a biological rhythm synchronizes with an external periodic signal. “Failure” denotes the breakdown of this critical homeostatic process. The concept highlights the importance of environmental timing for maintaining internal biological order.
Mechanism
The primary entrainment failure occurs when the light-dark cycle is inconsistent, such as from late-night screen exposure or shift work, which sends conflicting signals to the SCN via the melanopsin cells. The SCN then fails to properly reset the rhythmic expression of clock genes in peripheral tissues. This desynchronization leads to mistimed hormonal release—for instance, insulin secretion or cortisol peaks occurring at inappropriate times—which contributes to impaired glucose tolerance and chronic HPA axis stress.
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